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    Extremitas Inferior

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    azifadewiatasya
    The document discusses the anatomy of the lower extremities. It describes the bones, joints, and muscles of the lower extremities. The key bones include the pelvis, femur, tibia, fibula, and bones of the feet. It outlines several important joints such as the hip, knee, ankle, and foot joints. It categorizes the muscles into groups including the gluteal muscles, thigh muscles, leg muscles, and foot muscles. The document provides details on the origins, insertions and actions of representative muscles in each group.

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    © All Rights Reserved
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    Extremitas Inferior

    Uploaded by

    azifadewiatasya
    72 views54 pages
    The document discusses the anatomy of the lower extremities. It describes the bones, joints, and muscles of the lower extremities. The key bones include the pelvis, femur, tibia, fibula, and bones of the feet. It outlines several important joints such as the hip, knee, ankle, and foot joints. It categorizes the muscles into groups including the gluteal muscles, thigh muscles, leg muscles, and foot muscles. The document provides details on the origins, insertions and actions of representative muscles in each group.

    Original Title

    53089_10. EXTREMITAS INFERIOR

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    The document discusses the anatomy of the lower extremities. It describes the bones, joints, and muscles of the lower extremities. The key bones include the pelvis, femur, tibia, fibula, and bones of the feet. It outlines several important joints such as the hip, knee, ankle, and foot joints. It categorizes the muscles into groups including the gluteal muscles, thigh muscles, leg muscles, and foot muscles. The document provides details on the origins, insertions and actions of representative muscles in each group.

    Copyright:

    © All Rights Reserved
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    72 views54 pages

    Extremitas Inferior

    Uploaded by

    azifadewiatasya
    The document discusses the anatomy of the lower extremities. It describes the bones, joints, and muscles of the lower extremities. The key bones include the pelvis, femur, tibia, fibula, and bones of the feet. It outlines several important joints such as the hip, knee, ankle, and foot joints. It categorizes the muscles into groups including the gluteal muscles, thigh muscles, leg muscles, and foot muscles. The document provides details on the origins, insertions and actions of representative muscles in each group.

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    © All Rights Reserved
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    You are on page 1of 54

    ANATOMI SISTEMATIKA

    EXTREMITAS
    INFERIOR

    ext.inf/sist.musc.skel/fkuh/jil/maret 1
    2006
    EXT.INF-TULANG
     Tulang-tulang EXT.INF, terbagi pada :
    o CINGULUM EXTREMITAS INFERIOR (CEI, Gelang Panggul)
    - OS COXAE (Os ilium, ischium, pubis)
    o FEMUR (paha) → OS FEMUR
    o GENU (lutut) → PATELLA
    o CRUS (tungkai) → OS TIBIA + OS FIBULA
    o PEDIS (kaki)
    - OSSA CARPALIA (7)
    Os Calcaneus Os Cuneiforme I
    Os Tarsalia Os Cuneiforme II
    Os Naviculare Os Cuneiforme III
    Os Cuboideum
    - OSSA METACARPALIA (5)
    - OS PHALANGES (14) → Prox, med, dist

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    2006
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    2006
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    2006
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    2006
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    2006
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    2006
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    2006
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    2006
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    2006
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    2006
    ext.inf/sist.musc.skel/fkuh/jil/maret 12
    2006
    EXT.INF-PERSENDIAN
     Terdapat persendian :
    1. ARTICULATIO SACROILIACA
    2. SYMPHYSIS OSSEUM PUBIS
    3. ARTICULATIO COXAE
    4. ARTICULATIO GENU
    5. ARTICULATIO TIBIOFIBULARIS
    6. ARTICULATIO TALOCRURALIS
    7. ARTICULATIONES PEDIS
    - Art. Intertarsea
    - Art. Tarsometatarsea
    - Art. Intermetatarsea
    - Art. Metatarsophalangea
    - Art(es) Interphalangea
    ext.inf/sist.musc.skel/fkuh/jil/maret 13
    2006
    EXT.INF-PERSENDIAN
     ART. SACROILIACA
    o Dibentuk : Os Sacrum + Os Ilium
    o Type : Art. Trochoidea (Diarthrosis)
    o Discus Art : Tidak ada
    o Ligamentum :
    - Lig. Sacroiliaca (ant, post, intraarticulare)
    - Lig. Iliolumbale
    - Lig. Sacrotuberosum sbg lig. extracapsuler
    - Lig. Sacrospinosum
    o Gerakan : sedikit rotasi, craniodorsal + caudoventral

    ext.inf/sist.musc.skel/fkuh/jil/maret 14
    2006
    EXT.INF-PERSENDIAN
     SYMPHISIS OSSEUM PUBIS
    o Dibentuk : Os pubis dexter + sinister
    o Type : Synchondrosis (ada fibrocartilago)
    o Discus Art : Tidak ada
    o Ligamentum :
    - Lig. Pubicum sup
    - Lig. Pubicum inf (=lig. Arcuatum pubis)
    o Gerakan : sedikit

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    2006
    ext.inf/sist.musc.skel/fkuh/jil/maret 16
    2006
    EXT.INF-PERSENDIAN
     ART. COXAE
    o Dibentuk : Acetabulum (Os Coxae) + Caput Femoris
    o Type : Art. Globoidea (Diarthrosis)
    o Discus Art : Tidak ada
    o Ligamentum :
    - Lig. Iliofemorale
    - Lig. Ischiofemorale
    - Lig. Pubofemorale
    - Lig. Teres Capitis
    o Gerakan :
    - Ante + Retroflexio
    - Abductio + Adductio
    - Rotasi → Circumductio

    ext.inf/sist.musc.skel/fkuh/jil/maret 17
    2006
    ext.inf/sist.musc.skel/fkuh/jil/maret 18
    2006
    EXT.INF-PERSENDIAN
     ART. GENU
    o Dibentuk : Condylus Femoris + Condylus Tibiaec +Patella
    o Type : Art. Ginglymus (Diarthrosis)
    o Discus Art : Ada → sbg MENISCUS LAT + MED
    o Ligamentum :
    - Lig. Collaterale lat/fibulae
    -Lig. Popliteum
    - Lig. Collaterale med/tibiae
    Arcuatum
    - Lig. Patella
    - Lig. Popliteum
    o Gerakan : Obliquum
    - Flexio + sdkt exorotasi - Lig. Cruciatum ant +
    - Extensio + sdkt endorotasi post
    o Lain-lain : terdapat Bursa Suprapatellaris, Infrapatellaris,
    Prepatellaris

    ext.inf/sist.musc.skel/fkuh/jil/maret 19
    2006
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    2006
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    2006
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    2006
    ext.inf/sist.musc.skel/fkuh/jil/maret 23
    2006
    EXT.INF-PERSENDIAN
     ART. TIBIOFIBULARIS
    o Dibentuk : Condylus Lat. Tibiae + Capitulum fibulae
    o Type : - Proximalis → Art. Plana (Diarthrosis)
    - Intermedia → Syndesmosis fibrosa
    - Distalis → Syndesmosis fibrosa
    o Discus Art : Tidak ada
    o Ligamentum :
    - Lig. Capituli fibulae ant + post
    - Membrana interossea
    - Lig. Tibiofibulare ant, post, intraarticulare
    o Gerakan : tidak ada
    o Lain-lain : persendian tdk penting

    ext.inf/sist.musc.skel/fkuh/jil/maret 24
    2006
    ext.inf/sist.musc.skel/fkuh/jil/maret 25
    2006
    EXT.INF-PERSENDIAN
     ART. TALOCRURALIS
    o Dibentuk : Malleolus tibialis dan fibularis + Talus
    o Type : Art. Ginglymus (Diarthrosis)
    o Discus Art : Tidak ada
    o Ligamentum :
    - Lig. Deltoideum
    - Lig. Tibiofibulare transversum
    - Lig. Talofibulare ant + post
    - Lig. Calcaneofibulare
    o Gerakan : - dorsoflexio (extensio)
    - plantaflexio (flexio)

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    2006
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    2006
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    2006
    EXT.INF-PERSENDIAN
     ART(ES). PEDIS
    o Dibentuk :
    1. Os Calcaneus
    2. Os Tarsalia
    3. Os Naviculare Pedis
    4. Os Cuboideum
    5. Os Cuneiforme
    o Type : Berbeda-beda
    o Discus Art : Tidak ada
    o Ligamentum :
    - Banyak
    - Yg besar → Lig. Plantare longum
    o Gerakan : - Inversio + Eversio
    - Sdkt Flexio (plantaflexio) + Extensio
    (dorsoflexio)
    o Lain-lain : struktur art(es) pedis → ARCUS PEDIS LONGITUDINALIS
    + TRANSVERSUS

    ext.inf/sist.musc.skel/fkuh/jil/maret 29
    2006
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    2006
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    2006
    ext.inf/sist.musc.skel/fkuh/jil/maret 32
    2006
    EXT.INF-OTOT
     Otot-otot EXT.INF dikelompokkan :

    o Otot-otot GLUTEA
    o Otot-otot FEMORIS
    o Otot-otot CRURALIS
    o Otot-otot PEDIS

    ext.inf/sist.musc.skel/fkuh/jil/maret 33
    2006
    EXT.INF-OTOT
     Otot-otot Glutea
    o Terdiri dari
    - M. GLUTEUS MAXIMUS - M. TENSOR FASCIAE LATAE
    - M. GLUTEUS MEDIUS - M. PIRIFORMIS
    - M. GLUTEUS MINIMUS - M. OBTURATOR INT
    - M. GEMELLUS SUP - M. QUADRATUS FEMORIS
    - M. GEMELLUS INF
    o Semua otot Glutea kecil → kecuali M. GLUTEUS MAX
    o Mm. Gemelli Sup + Inf dan M. Obt.Int → M. TRICEPS COXAE
    (insertio Fossa Trochanterica)
    o M. TRICEPS COXAE → Rotator Utama (exorotasi) art. Coxae
    o M. Piriformis lewat For. Ischiadicum majus → btk FORAMEN
    SUPRA dan INFRAPIRIFORMIS
    o Otot-otot Glutea → dibungkus FASCIA GLUTEA

    ext.inf/sist.musc.skel/fkuh/jil/maret 34
    2006
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    2006
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    2006
    EXT.INF-OTOT
     Otot-otot Femoris
    o Kelompok Anterior o Kelompok Medial
    - M. PSOAS MAJOR - M. GRACILIS
    - M. PSOAS MINOR - M. ADDUCTOR LONGUS
    - M. ILIACUS - M. ADDUCTOR BREVIS
    - M. PECTINEUS - M. ADDUCTOR MAGNUS
    - M. OBTURATOR
    EXTERNUS o Kelompok Posterior
    - M. SARTORIUS -M. BICEPS FEMORIS
    - M. RECTUS FEMORIS -M. SEMITENDINOSUS
    - M. VASTUS LATERALIS -M. SEMIMEMBRANOSUS
    - M. VASTUS MEDIALIS
    - M. VASTUS
    INTERMEDIUS

    ext.inf/sist.musc.skel/fkuh/jil/maret 37
    2006
    EXT.INF-OTOT
     Otot-otot Femoris (lanjutan)
    o M. Rectus Femoris + Mm. Vasti → M. QUADRICEPS FEMORIS
    (insertio pd Tuberositas Tibiae via Lig Patellae)
    o M. Semitendinosus + M. Semimembranosus + M. Biceps Femoris
    cap.long + M. Add.magnus cap. Tuberalis → OTOT HAMSTRING
    o Di Ventromedial, otot-otot Femoris Anterior + Medialis, membtk :
    - FOSSA ILIOPECTINEA → cekungan pd dasar Trigonum
    Femorale, dibtk m.iliopsoas + m.pectineus + m.add.longus,
    atapnya fascia lata
    - TRIGONUM FEMORALE → area segi-3, dibentuk m. sartorius +
    m.add. Longus + lig. Inguinale
    - CANALIS ADDUCTORIUS → saluran hubungkan Fossa
    iliopectinea ke Fossa Poplitea
    Dibentuk m. vast. Med + m.add.longus + m.add.magnus +
    m.sartorius + membrana vastoadductoria
    o Otot-otot Femoris dibungkus FASCIA LATA

    ext.inf/sist.musc.skel/fkuh/jil/maret 38
    2006
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    2006
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    2006
    EXT.INF-OTOT
     Otot-otot Cruralis
    o Kelompok Anterior
    - M. TIBIALIS
    - M. EXT. DIGITORUM LONGUS
    - M. EXT HALLUCIS LONGUS
    - M. PERONEUS TERTIUS
    o Kelompok Lateral
    - M. PERONEUS LONGUS
    - M. PERONEUS BREVIS

    ext.inf/sist.musc.skel/fkuh/jil/maret 41
    2006
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    2006
    EXT.INF-OTOT
     Otot-otot Cruralis
    o Kelompok Posterior
     Superficialis
    -M. GASTROCNEMIUS
    -M. PLANTARIS
    -M. SOLEUS

    ext.inf/sist.musc.skel/fkuh/jil/maret 43
    2006
    EXT.INF-OTOT
     Otot-otot Cruralis
    o Kelompok Posterior
    Profunda
    -M. FLEX. DIGIT LONGUS
    -M. FLEXOR HALLUCIS
    LONGUS
    -M. TIBIALIS POSTERIOR
    -M. POPLITEUS

    ext.inf/sist.musc.skel/fkuh/jil/maret 44
    2006
    EXT.INF-OTOT
     Otot-otot Cruralis (lanjutan)
    o Otot-otot cruralis dibungkus FASCIA CRURIS
    o SEPTUM INTERMUSCULARE ANT + POST
    - Memisahkan otot-otot tsb
    - Dibentuk dari Fascia Cruris
    - Terbentuk 4 KOMPARTEMEN
    o M. Soleus + M. Gastrocnemius (2 caput) → M.
    TRICEPS SURAE
    o Tendo ACHILLES dibentuk dari M. Soleus + M.
    Gastrocnemius + M. Plantaris

    ext.inf/sist.musc.skel/fkuh/jil/maret 45
    2006
    EXT.INF-OTOT
    o FOSSA POPLITEA
    - Terletak dorsal art. Genu,
    berbtk segi-4
    - Dibentuk
    m. biceps femoris +
    m. gastrocnemius +
    m. plantaris +
    m. semitendinosus +
    m. semimembranosus
    - Dasarnya → planum
    popliteum + m.
    popliteus
    - Atapnya → Fascia Cruris

    ext.inf/sist.musc.skel/fkuh/jil/maret 46
    2006
    EXT.INF-OTOT
     Otot-otot Cruralis (lanjutan)
    o Pada medial pergelangan kaki (Regio malleolaris) → ada
    RETINACULUM FLEXORUM (=lig. Laciniatum)
    Fiksasi Vagina tendineum dari tendo otot-otot m. Tibialis Post +
    m.fl.dig.longus + m.fl.Hall.Longus, serta AV. Tibialis Posterior +
    N. Tibialis

    ext.inf/sist.musc.skel/fkuh/jil/maret 47
    2006
    EXT.INF-OTOT
     Otot-otot Cruralis (lanjutan)
    o Terdapat pula RETINACULUM EXTENSORUM SUPERIOR
    (=lig. Transversum Cruris) → pd ventrocranial art. Talocruralis
    Fiksasi Vagina Tendineum dari tendo otot-otot m. peroneus
    tertius + m. ext.dig. Longus + m. ext. hallucis longus + m.
    tibialis ant.

    ext.inf/sist.musc.skel/fkuh/jil/maret 48
    2006
    EXT.INF-OTOT
     Otot-otot Pedis
    o Terdiri otot-otot EXTRINSIC + INSTRINSIC
    Pedis
    o Otot Extrinsic yi otot-otot Cruris yg
    terdpt/insertio pada pedis
    o Otot Intrinsic → otot yg berada (origo +
    insertio) hanya pada Pedis
    o Dibungkus oleh FASCIA PEDIS
    o Pada plantapedis → terdapat Aponeurosis
    Plantaris
    ext.inf/sist.musc.skel/fkuh/jil/maret 49
    2006
    EXT.INF-OTOT
     Otot-otot Pedis (lanjutan)
    Otot-otot Intrinsic, terbagi :
    o Kelompok Medial :
    - M. ABDUCTOR HALLUCIS
    - M. FLEXOR HALLUCIS BREVIS
    - M. ADDUCTOR HALLUCIS
    o Kelompok Intermedia :
    - M. DIGIT. BREVIS
    - Mm. LUMBRICALES (4)
    - M. QUADRATUS PLANTAE
    - Mm. INTEROSSEI PLANTARIS (3)
    - Mm. INTEROSSEI DORSALIS (4)
    o Kelompok Lateral :
    - M. ABD. DIGITI MINIMI
    - M. FL.DIGITI MINIMI BREVIS
    - M. OPPENENS DIGITI QUINTI

    ext.inf/sist.musc.skel/fkuh/jil/maret 50
    2006
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    2006
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    2006
    EXT.INF-OTOT
     Otot-otot Pedis (lanjutan)
    Terdapat Retinaculum :
    o RETINACULUM EXTENSORUM INF (=lig.
    Cruciatum cruris)
    - Pada pangkal dorsum pedis
    - Fiksasi Vag. Tend. Dari tendo otot-otot m. peroneus tertius,
    m.ext.digit.longus, m.ext.hallucis longus, m.tibialis ant

    ext.inf/sist.musc.skel/fkuh/jil/maret 53
    2006
    EXT.INF-OTOT
     Otot-otot Pedis (lanjutan)
    o RETINACULUM
    MUSCULI
    PERONEORUM
    - di lateral dorsum
    pedis
    - fiksasi vag. Tend.
    Dari tendo otot-otot m.
    peroneus longus +
    m. peroneus brevis

    ext.inf/sist.musc.skel/fkuh/jil/maret 54
    2006

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